相关实验视频
Updated: Jun 29, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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牙损失与功能限制的异质关联
Y Matsuyama1, J Aida1, K Kondo2,3
1Department of Oral Health Promotion, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan.
Journal of dental research
|March 27, 2024
概括
失去牙会对老年人的功能能力产生负面影响. 机器学习揭示了这种关联是不同的,年长的男性,较低的社会经济地位和健康状况差是更脆弱的子组.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 生物统计学 生物统计学
背景情况:
- 牙脱落在老年人中很常见,与功能能力下降有关.
- 有限的研究存在于个人对牙损失影响的敏感性.
研究的目的:
- 调查日本老年人牙脱落与更高水平功能能力之间的异质关系.
- 使用机器学习方法来识别易受攻击的子组.
主要方法:
- 对65岁以上的日本成年人进行前性队列研究 (N=16,553).
- 使用东京大都会老年学研究所能力指数 (TMIG-IC) 评估更高层次的功能能力.
- 采用双重强大的目标最大概率估计和因果森林算法来分析关联和异质性.
主要成果:
- 牙损失 (<20颗天然牙) 与较低的TMIG-IC得分显著相关 (人群平均效应: -0.14).
- 因果森林分析表明异质的关联,中位条件平均治疗效应 (CATE) 为 -0.13.
- 高影响子组 (最低10%的CATE) 是老年,男性,社会经济地位较低,缺乏伴侣,报告健康状况较差.
结论:
- 牙脱落对老年人功能能力的影响存在显著的异质性.
- 针对易受伤害的子群体 (老年男性,低SES,健康状况差) 制定有针对性的牙脱落预防策略至关重要.
- 解决牙损失可能有效地减少其对有风险群体功能能力的负担.
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